Item No.
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: OFFICE OF THE CITY MANAGER
BY: DAN HURLOCK, FIRE CHIEF
DATE: AUGUST 27, 2024
SUBJECT: APPROVAL OF PROFESSIONAL SERVICE AGREEMENT BETWEEN DOWNEY
FIRE DEPARTMENT AND THE UNIVERSITY OF CALIFORNIA LOS ANGELES
CENTER FOR PREHOSPITAL CARE
EXECUTIVE SUMMARY
The City Council will consider approving a professional service agreement between Downey Fire Department and the University of California Los Angeles Center for Prehospital Care for paramedic continuing education and quality improvement. These services are required to be in place by the Los Angeles County Department of Health Services for all prehospital medical care providers. This agreement covers a five (5) year term beginning on April 1, 2024 and ending on March 31, 2029.
RECOMMENDATION
That the City Council:
Approve the Services Agreement between Downey Fire Department and the UCLA Center for Prehospital Care for providing a continuing education and quality improvement program for a five (5) year term beginning on April 1, 2024 and ending on March 31, 2029 for a total contract amount of $79,335 annually.
BACKGROUND
The Fire Department is an emergency medical provider, and, as such, it is required by the regulations of the Los Angeles County Department of Health Services (LADHS) to have a system in place for continuing education and quality improvement. The University of California Los Angeles (UCLA) Center for Prehospital Care has provided these services since 2010, when the City entered into the original agreement. The program consists of in-person monthly courses delivered to emergency medical technicians and paramedics by a licensed Nurse Educator. In addition, routine evaluation of paramedic performance through documentation and treatment reviews ensures that Downey Fire Department provides the highest standard of care to the community.
As a regional and national leader in prehospital medicine, UCLA Center for Prehospital Care has provided cutting edge education for Downey Fire Department paramedics for the past fourteen years. Having a dedicated staff member of this institution immediately
PROFESSIONAL SERVICE AGREEMENT BETWEEN DOWNEY FIRE DEPARTMENT AND
THE UNIVERSITY OF CALIFORNIA LOS ANGELES CENTER FOR PREHOSPITAL CARE AUGUST 27, 2024
PAGE 2
2 available for Downey Fire Department members creates stronger paramedics and improves the quality of emergency medical services delivered to the City. The current Registered Nurse Educator assigned to Downey Fire Department meets and regularly exceeds the services outlined in the agreement for the betterment of the City’s emergency medical services.
ANALYSIS
The current agreement between UCLA Center for Prehospital Care and Downey Fire Department expired on March 30, 2024. The previous agreement represented a second extension to the agreement originally entered into on September 28, 2010. The extensions, dated March 14, 2016 and January 11, 2022, respectively, have exhausted the terms of the original agreement. In order to ensure that the terms of the agreement align with LADHS requirements, the proposed contract was drafted. Currently, the UCLA Center for Prehospital Care is the only service provider in Los Angeles County that focuses on paramedic care programs and offers all of the required services.
The long-standing relationship between Downey Fire Department and UCLA Center for Prehospital Care has bolstered the quality of emergency medical care provided to the City. As a programmatic requirement by the Los Angeles County Department of Health Services, this program provides current and relevant training to paramedics. Additionally, consistent and thorough reviews of performance by DFD paramedics ensures compliance with standards of patient care and associated documentation. The services received from the UCLA Center for Prehospital Care throughout the previous contract period have been excellent. The extension presented here will maintain the current high standards of Downey Fire Department paramedics and provide continuity to the educational and quality assurance requirements of emergency medical provider agencies.
CITY COUNCIL PRIORITIES
Quality of Life, Safety & Infrastructure
FISCAL IMPACT
Approval of the recommended action will result in an expenditure of $6,611.25 per month from the General Fund, Emergency Medical Services Account No., 10-4-2630-0700 as previously approved in the Fiscal Year 2024-25 operating budget. There is sufficient fund balance for the recommended action.
ATTACHMENTS
Attachment A: UCLA Center for Prehospital Care and Downey Fire Department Service Agreement.
PROFESSIONAL SERVICE AGREEMENT BETWEEN DOWNEY FIRE DEPARTMENT AND
THE UNIVERSITY OF CALIFORNIA LOS ANGELES CENTER FOR PREHOSPITAL CARE AUGUST 27, 2024
PAGE 2
3 DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 UCLA Center for Prehospital Care
And
Downey Fire Department
Services Agreement
This Agreement (“Agreement“) is made and entered as of April 1, 2024 ("Effective Date”) by and between The Regents of the University of California on behalf of the UCLA Center for Prehospital Care ("UCLA”) and City of Downey (City“), on behalf of the Downey Fire Department ("Department”) .
RECITALS
The UCLA Center for Prehospital Care conducts continuing education in prehospital and emergency medicine services for students to maintain licensure as an EMT-Basic and Paramedic (referred to as "CE Programs“) and provides quality improvement services to maintain or enhance the quality of patient care (referred to as "QI Services“).
Department desires to utilize the CE and related services to maintain the certifications of Department personnel and to continue to deliver quality patient care to their Department members and community.
NOW THEREFORE, the parties hereby agree as follows:
A.
B.
DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Article 1
Rights and Responsibilities of UCLA
Provide an EMS Educator ("EMS Educator"). UCLA shall provide an EMS Educator to Department to conduct CE Programs as described herein. The EMS Educator shall be subject to the mutual approval and selection of both Department and UCLA
Provide CE Programs. The EMS Educator will provide two to three hours of of CE twice on each of the three platoon shifts (A, B and C) will include hands-on practical on a mutually agreeable schedule. A minimum of 24 hours of CE shall be delivered annually to meet requirements for EMT recertification and Paramedics for relicensure. A summary of CE services are detailed in Exhibit B.
Provide QI Services. The EMS Educator shall develop, coordinate and maintain a quality improvement plan for Department. This shall include: developing a system to review Department’s policies, patient care, and documentation, coordinate bi-annual quality improvement meetings, providing direct observation under field conditions, developing a plan to evaluate the competency of Department personnel, assisting in fact- finding regarding patient care delivered by Department personnel or questions about policy for specific incidents and attending the Los Angeles County EMS Agency Quality Improvement Committee meetings to gather information regarding updates and changes to policies and/or procedures and reporting to the Department. A summary of QI Services are detailed in Exhibit B.
Provide Emergency Medical Dispatch Services. The EMS Educator shall provide two hours of CE to dispatchers twice each month, periodically observe dispatcher
1.1 1.2
1.3 1.4
DocuSlgn Envelope ID: 86D4F7AB-A373-4644-B237-2C)3CFI B99E34 interrogations, support the Dispatch supervisor with quality assurance and improvement and assist the department in maintaining accreditation.
Provide General/Administrative Support. The EMS Educator will collaborate and coordinate activities with the quality improvement committee and Department leadership (as identified in Section 3.2) and monitor compliance with local and state regulations during the term of this Agreement and as set forth in Exhibit B. A description of the Administrative Support Services is set forth in Exhibit B.
Additional Services. The EMS Educator may provide additional CE Program and administrative services beyond time or effort of the services described in Exhibit B to meet the needs of Department at additional fees, as agreed to by the parties.
1.5 1.6
Article 2
Confidentiality
Definition. For purposes of this Agreement, the term -Confidential Information” shall mean any information, including protected health information (PHI). disclosed in order to accomplish the work under this Agreement by one party ("Disclosing Party”) to another party (“Receiving Party”) that is considered confidential by the Disclosing Party, and is considered confidential or privileged under federal or state law, provided such information is in writing or other tangible form and clearly marked as confidential when disclosed, or is so designated in writing within thirty (30) days of such disclosure. The parties agree to disclose only information that is necessary to the work, and/or as required or permitted under federal or state law, and to send such information directly to the parties noticed in Section 9 of this Agreement.
2.1 - 3 -
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DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Receiving Party may maintain an archival copy of the Confidential Information on the Receiving Party’s servers as long as the confidentiality obligations in Section 2.2 continue to be complied with.
Article 3
Rights and Responsibilities of Department
Provide Space and Equipment. Department shall provide a classroom sufficient to provide quality instruction, audiovisual equipment; access to Department training equipment and supplies for the purposes of instruction; and a desk with securable file space, internet access and use of a printer and photocopier for use by the EMS Educator while at the Department.
Designate QI Person. Department shall designate a person responsible for CE in Department and to receive the information under this Agreement (''Department Designee“).
Responsibility. Department understands and accepts the responsibility for the clinical activities and care provided by its employees and agents and for the implementation of the services under this Agreement. Department agrees that UCLA shall not be responsible for these clinical activities or the implementation of quality improvement servIces.
3.1 3.2
3.3 DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Article 4
Term
The term of this Agreement shall be for five (5) years from the Effective Date through March 31, 2029.
4.1 Article 5
Termination
Termination without Cause. Either party may terminate this Agreement at any time without cause by providing the other party with sixty (60) days written notice as set forth in Article 9 below.
Termination for Cause. Either party may terminate this Agreement for cause or a material breach by providing the other party with thirty (30) days written notice as set forth in Article 9 below. If the breaching party fails to cure the breach within thirty (30) days of receipt of the notice of breach, or later if the breach is of such nature requiring a longer time for cure, the termination shall be effective at the end of the thirty (30) day period
5.1 5.2
Article 6
Payment
Compensation for Services. Department agrees to compensate UCLA for the services provided by the EMS Educator under this Agreement in the amount of $79,335 annually, which shall be billed in the amount of $6.611.25 monthly. Department shall mail
6.1 - 6 -
DocuSlgn Envelope ID: 86D4F7AB-A373dF644-B237-203CFIB99E34 payment to UCLA pursuant to Section 6.3 below within thirty (30) days of the date of each invoice. Following the first year of the initial term of the Agreement, on the anniversary of the Effective Date each year that this Agreement is in effect, UCLA shall increase the cost of services by no more than 5% per year to cover increases in the cost to deliver services. Department shall pay the amount due within thirty (30) days of the date of the invoice from UCLA.
Compensation for Additional Services. Department agrees to compensate UCLA for additional services referred to in Section 1.5 requested by the Department and approved by UCLA at an approved billable rate. The approved rate will be shared with Department annually by March 31 for implementation July 1.
Payment. Any payment to UCLA made pursuant to this Agreement shall be made by check payable to the Regents of the University of California and mailed to:
UCLA Cashiering Department
Box 957448
757 Westwood Plaza, Ste. 1119
Los Angeles, CA 90095-7448
6.2 6.3
Article 7
Insurance
The parties agree to obtain and maintain the insurance set forth in Exhibit A.7.1 Article 8
Indemnification
Department agrees to defend, indemnify, and hold harmless UCLA, its officers, employees and agents from and against any and all liability. loss, expense (including reasonable attorneys’ fees) or claims for injury or damages arising out of the performance
8.1 - 7 -
DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 of this Agreement, but only in proportion to and to the extent such liability, loss, expense, attorneys’ fees. or claims for injury or damages are caused by or result from the negligent or intentional acts or omissions of Department, its officers, employees or agents.
UCLA agrees to defend, indemnify, and hold harmless Department, its officers, employees and agents from and against any and all liability, loss, expense (including reasonable attorneys’ fees) or claims for injury or damages arising out of the performance of this Agreement, but only in proportion to and to the extent such liability, loss, expense, attorneys’ fees, or claims for injury or damages are caused by or result from the negligent or intentional acts or omissions of UCLA, its officers, employees or agents.
8.2 Article 9
Notice
Any notice required to be given to any party is deemed to have been given and to be effective on the date of delivery if delivered in person or by nationally recognized overnight courier such as Federal Express, or five (5) days after mailing if mailed by first-class certified mail, postage paid, to the respective addresses given below or to any other address as designated in writing to the other party:
UCLA:
Contract Manager
UCLA Center for Prehospital Care
1100 (Hendon Ave, Suite 1200
Los Angeles, CA 90024
9.1 Department:
Captain Sergio Zavala
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DocuSlgn Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Paramedic Coordinator
Downey Fire Department
111 1 1 Brookshire Ave.
Downey, CA 90241
Article 10
Use of Name
10. 1 Neither party may use the name of the other, including the name UCLA, the Regents of the University of California, or the University of California, in any advertising, publicity, or otherwise, without the prior written approval of the authorized representative of the other party. For UCLA, any such request shall be sent to the names and addresses in Article 9 above.
Article 11
General Terms
Relationship. This Agreement is not construed as creating a partnership, joint venture, or agency relationship among the parties. The relationship between the parties shall at all times be that of independent contractors.
Governing Law. This Agreement shall be interpreted and construed according to the laws of the State of California
Modifications. Any amendments or modifications to this Agreement must be in writing and signed by authorized representatives of both parties.
Assignment. Neither party may assign its rights, duties, or obligations under this Agreement, either in whole or in part, without the prior written consent of the other party.
11.1 11.2
11.3 11.4
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DocuSlg n Envelope ID: 86D4F7AB-A3734644-B237-203CFIB99E34
11.5 Severability. The provisions of this Agreement are severable. If any provision of this Agreement is determined to be invalid or unenforceable under any controlling body of law, the invalidity or enforceability does not in any way affect the validity or enforceability of the remaining provisions of this Agreement.
Waiver. Waiver by any party of any breach of any provision of this Agreement or warranty or representation shall not be construed as a waiver of any subsequent breach of the same or any other provision. The failure to exercise any right in this Agreement shall not operate as a waiver of such right.
Entire Agreement. This Agreement, and the Exhibits attached hereto, contain the entire Agreement between the parties with respect to the subject matter of the Agreement and supersedes all prior written or oral agreements with respect to the subject matter in the Agreement.
No Third Party Beneficiaries. None of the provisions contained in this Agreement are intended by the parties, nor shall they be deemed, to confer any benefit on any person not a party to this Agreement.
Review of electronic files. Department agrees that UCLA EMS Educator(s) will have access to review electronic patient care reports to review for audit purposes with respect to the services provided under this Agreement.
No Excluded Parties. Each party represents and warrants to the other party that: a) neither it nor any of its representatives who will provide services pursuant to this Agreement are currently excluded, suspended, debarred or otherwise ineligible to participate in federal health care programs, including Medicare and Medicaid programs; and b) neither it nor any of its representatives who will provide services under this
11.6 11.7
11.8 11.9
11.10 - 10-
DocuSig n Envelope ID: 86D4F7AB-A373Jj644-B237-203CFIB99E34 Agreement have been convicted of a criminal offense related to the provision of health care items or services that would lead to mandatory exclusion from federal health care programs, but have not yet been excluded.
11.11 Compliance with Laws. Both parties agree that each shall comply with all applicable state and federal laws, rules, and regulations now in effect or hereafter adopted regarding the services provided under this Agreement, including but not limited to, those laws regarding the retention and availability of books and records related to the performance of obligations under this Agreement. Such action shall include, without limitation, compliance with the appropriate provisions of the Social Security Act and any applicable regulations, as related to the retention of records.
IN WITNESS THEREOF, the parties hereto have executed this Agreement on the dates indicated.
01-3ul-2024 1 06: 10 PDT
DATE: By: The REGENTS OF THE UNIVERSITY OF
CALIFORNIA, on behalf of the UCLA Center for
Prehospital Care
DocuSigned by:
&l /)aT
MoRe Holt
Director, Financial Reporting & Operations
Controller
THE CITY OF DOWNEY.
behalf of the Downey Fire Department
By
By
On
By
MIR/By'
MM. Funk, City Attorney
11 DATE:
Roger Bradley, City Manager
Approved as to Form:
DQcuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFI B99E34 Attest:
By:
Maria Alicia Duarte, CMC
12 _
DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Exhibit A
Insurance
1.UCLA
UCLA at its sole cost and expense shall insure or self-insure its activities in connection with this Agreement by maintaining programs of self-insurance as follows:
1. 2.
3. 4.
5. Commercial Form General Liability Insurance (contractual liability included) with a limit of two million dollars ($2,000,000) per occurrence and a general aggregate of five million dollars ($5,000,000).
Business Automotive Liability insurance with a combined singje limit of not less than five million dollars ($5,000,0000) per occurrence.
Professional Medical and Hospital Liability Self-Insurance Program with limits of one million dollars ($1,000,000) per occurrence and a general aggregate of five million dollars ($5,000,000).
Workers' Compensation and Employers Liability Self-Insurance Program covering University’s full liability under the Workers’ Compensation Insurance and Safety Act of the State of California as amended from time to time Such other insurance in such amounts which from time to time may be reasonably required by mutual consent of the parties against other insurable risks relating to performance.
It should be expressly understood, however, that the coverages required under Sections 1, 2, and 3 above shall not in any way limit the liability of UCLA. If such insurance is written on a claims-made form, it shall continue for three years following termination of this Agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement.
The coverages referred to under Sections 1 and 2 above shall include Department as additional insured. UCLA, upon execution of this Agreement, shall furnish Department with Certificates of Self-Insurance evidencing compliance with all requirements.
11.Department
Department at its sole cost and expense shall insure or self-insure its activities in connection with this Agreement by maintaining programs of self-insurance as follows:
1. 2
General Liability Self-Insurance Program with a limit of one million dollars ($2,000,000) per occurrence and a general aggregate of five million dollars ($5,000.000).
Business Automobile Liability Insurance Program for owned, non-owned, or hired automobiles with a combined single limit of not less than two million dollars ($2,000,000) per occurrence with additional coverage available.
DocuSlg n Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34
3. 4.
5. Professional Medical Liability Insurance with limits of one million dollars ($2,000,000) per occurrence and a general aggregate of five million dollars ($5,000,000).
Workers’ Compensation and Employers Liability Self-Insurance Program covering Department’s full liability under the Workers’ Compensation Insurance and Safety Act of the State of California as amended from time to time.
Such other insurance in such amounts which from time to time may be reasonably required by mutual consent of the parties against other insurable risks relating to performance.
It should be expressly understood, however, that the coverages required under Sections 1, and 2 above shall not in any way limit the liability of Department. If such insurance is written on a claims-made form, it shall continue for three years following termination of this Agreement. The insurance shall have a retroactive date prior to or coinciding with the effective date of this Agreement.
The coverage referred to under Section land 2 above shall include Department as an additional covered party. Such a provision, however, shall apply only in proportion to and to the extent of the negligent acts or omissions of Department, its officers, employees and agents under this Agreement. Department, upon execution of this Agreement, shall furnish UCLA with Certificates of Insurance evidencing compliance with all requIrements.
III. NOTICE
Each party shall provide the other with at least thirty (30) days advance written notice to the names set forth in Article 9 of this Agreement of any changes, modifications or cancellations of the above coverages.
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DocuSlgn Envelope ID: 86D4F7AB-A373Jj644-B237-203CFIB99E34 Exhibit B
Scope of Services
This Scope of Services describes the Continuing Education (CE), Quality Improvement (QI) Program and General Administrative Services to support the Emergency Medical Service delivery for the Downey Fire Department. This includes a detailed service description, expected frequency of the activity and an outcome measure to confirm it has been achieved.
CE Services
Provide one Nurse Educator
to Department to Provide
CE Programs and QI
Services
CE Programs will be
provided twice on each of
the three platoon shifts ( A,
B and C) for a period of at
least two to three hours
each.
Frequency
On assignment and prior to
change in personnel
Outcome Measure
Department meets with new Nurse
Educator and provides approval to
begin service.
1. 2.Monthly A minimum of 24 hours of CE
delivered annualjy on each shift for
EMTs and Paramedics who elect to
attend all CE sessions on their work
shift, as evidenced on Department’s
approved training schedule and
calendar.
Department EMTs and Paramedics
can recertify/relicense.
3.CE Programs offered for
Department meet or exceed
the current criteria and
requirements established by
the County of Los Angeles,
and the State of California
for continuing education
recertification/relicensing.
The CE Program content
shall be created in
partnership with
Department.
CE Program content created
in partnership with
Department and shall meet
all mandatory requirements
(ie. Blood borne pathogens,
SIDs, Abuse, EMS Update,
etc.
CE Program content created
in partnership with
Department and shall
include an annual EMS
Documentation session to
Ongoing
Nurse Educator ensures Department
meets the audit requirements of the
County of Los Angeles.
CE Program content discussed
quarterly with Department and
verified on calendar of approved
toprcs.
4.Ongoing Verified on training schedule and
calendar of topics approved by
Department.
5.Ongoing Verified on training schedule and
calendar of topics approved by
Department.
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DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 make providers aware of
current laws related to EMS.
The Nurse Educator shall
collaborate with the Fire
Chief or designee on the
selection of learning
modules to support EMS
program available on their
learning management
system.
The Nurse Educator shall
conduct schedule skills
practice, remediation, and
skill competency
verification for Paramedics
and EMTs.
Quarterly (or more often if
needed)
Meeting with Fire Chief or designee
to identify content for learning
management system.
Annually and conducted
during skills sessions
practice where possible
Skills sheets verifying competency
of selected skills reviewed with
department leadership. All
paperwork, form preparation and
tracking for recertification will be
performed and maintained by
Department.
100% of the department members
attending CE meets the 80% passing
threshold or receives remediation to
achieve competency.
8.The Nurse Educator will
administer required
Monthly (at the end of each
CE session)
competency assessment
(i.e., quiz, skill checkoff) of
material presented during
CE Program.
9. The Nur
administer a student
evaluation survey about the
CE Program.
10. The Nurse Educator will
maintain all required CE
records.
Monthly (at the end of the
CE session)
80% of students rate the presentation
4 (out of 5). Completed evaluations
reviewed bi-annualjy with
department
Prepare a CE packet that includes all
required material for the audit
including but not limited to rosters,
lessons, objectives. posttests and
evaluations.
Submit required survey information
including but not limited to
schedules, rosters, lesson plans,
objectives posttests and evaluations.
Monthly
11 . The Nurse Educator will
prepare the Department for
the Los Angeles County
Department of Health
Services EMS Agency CE
Audit.
As scheduled
Attend meeting and obtain re-
approval of the department’s ability
to deliver CE and be in good
standing with DHS.
Outcome Measure
QI plan discussed at quarterly
meeting and recorded in minutes.
QI Services
1. Quarterly review and, if
necessary, modification of
the Quality Improvement
Frequenc:
Quarterly or more often if
needed
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DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 plan and Quarterly Quality
Improvement meetings.
Clinical review of 100% of
the patient care reports
generated, using a review
system of quality
improvement and assurance
and criteria created by the
Nurse Educator in
collaboration with
Department.
2.Monthly Review of 100% of patient care
records and record performance
against performance indicators
approved by Department or required
by the Los Angeles County EMS
Agency .
Performance threshold on indicators
is 90% and recorded on reports
submitted to Department and Los
Angeles County EMS Agenc'
Plan shall be subject to Department
approval and include QI
performance indicators for tracking,
skill competency assessment and
direct field observation. All of this
information shall be incorporated
into the CE Program approved by
the Department.
3.Development and
implementation of a process
and plan to review and
evaluate provider
competency. This plan is
intended to continualjy
review and strategically
rmprove core competencIes.
In addition, the plan will
address lesser-used skills
and procedures.
Ongoing
Completion of required skill
competency verification forms as
required by Los Angeles County
EMS Agency for recertification of
EMTs.
4.Specific incident review.
The Nurse Educator will
assist Department as
necessary in fact-finding for
specific patient-care-related
incidents
As required Review available documents (ie.
patient care report, EMS policies,
Title 22), contact appropriate
personnel (ie. provider, other fire
departments, or base hospitals) and
provide a summary of information
requested to Fire Chief
Completion of ride-along
documentation form. Documents
reviewed with Quality Improvement
committee and Department
leadership quarterly or more often if
needed.
5.The Nurse Educator shall
ride along/station visits
(introspective QI) and
evaluate Department EMT-
Paramedics under field
conditions as needed. The
Nurse Educator shall desjgn
and provide continuing
education based on the
needs and/or opportunities
discovered or created bY the
Monthly on each shift as
call volume permits
Ride-along observations will be
incorporated into CE topics
approved by the Department or
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DocuSlgn Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Educator's observations and
assessment.
Nurse Educator will attend
Los Angeles County Quality
Improvement Committee
meetings to gather
information and report to
Department on issues
related to policy, procedure,
and other relevant updates.
The Nurse Educator will
report to Department via the
Fire Chief or his/her Quality
Improvement Designee on
Quality Improvement
Activities. The Nurse
Educator will implement
any responsIve
recornrnendations under the
direction of the Chief or the
Quality Improvement
Desjgnee
Support the Medical
Director with special QI
r Ol ects
The Nurse Educator will
facilitate and attend the QI
committee to review and
discuss performance
indicators.
accomplished with concurrent
education or training material
Department represent
Educator and attendance recorded in
meetIng mInutes.
6.As scheduled
7.Monthly The Nurse Educator will provide QI
summaries for the Department and
meet regularly with the Fire Chief or
designee to discuss
recommendations for
implementation in the CE and QI
Programs
As assigned Track and report data as required.
Quarterly Results presented to quality
improvement committee and
department leadership for
discussion, recognition, areas for
Improvement, attentIon or
continuing education.
Attend meeting and obtain re-
approval of the department’s abil
to deliver EMS and be in good
standing with the Los Angeles
County EMS Agenc'
Report completed and submitted
required by DHS.
10. The Nurse Educator will
prepare the Los Angeles
County Department of
Health Services EMS
Agency Provider QI Audit
11 . The Nurse Educatom
collect, review and analyze
hospital outcome data as
required by the Los Angeles
County EMS Agency.
12. The NMEducator m
submit QI performance
indicators to DHS as
required
As scheduled
Monthly
Quarterly (or as required)Performance threshold on indicators is 90%
- 18 -
DocuSlgn Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 Emergency Medical Dispatch
(EMD) Services
1. Provide one EMS Educator
to EMD to provide CE
Programs
2. Provide CE for two (2)
hours twice each month
Frequency Outcome Measure
On assignment and prior to
change in personnel
Department meets with new EMS
Educator and provides approval to
begjn service.
Verified on training schedule and
calendar of topics approved by
Dispatch Supervisor.
Verified on training schedule and
calendar of topics approved by
Dispatch Supervisor
Provide support to Dispatch
Supervisor as requested.
Monthly
'1J.
4. CE Program content created
in partnership with Dispatch
Supervisor.
Support the Dispatch
Supervisor with call review
and quality assurance and
rmprovement actlvrtres,
including observing
dispatcher interrogations as
requested
General Administrative
Collaborate with EMS
Captain, Fire Chief and
Medical Director.
The Nurse Educator shall
support the Fire Chief or
designee with special
reports required for
accreditation or City
Council
The Nurse Educator will
assist the EMS Chief and
Captain in the organization
of the recertification plan
for Department EMTs. All
paperwork, form preparation
and tracking for
recertification will be
performed and maintained
by Department
The Nurse Educator or
desjgnee will attend Los
Angeles County Provider
Agency Advisory
Committee (PACC), LA
Count Fire Chief
Association (LAAFCA).
Pediatric Liaison Nurse
Monthly
As requested
Frequency
Quarterly, or more often if
needed
Outcome Measure
Formal and informal
meetings/conversations.
As requested Report prepared.
'1j.Bi-annually, or more often
if needed
Required DHS forms organized and
prepared for EMT certification. All
paperwork, form preparation and
tracking for recertification will be
performed and maintained by
Department.
4.Quarterly or as scheduled Department represented by the Nurse Educator.
- 19 -
DocuSign Envelope ID: 86D4F7AB-A373-4644-B237-203CFI B99E34 Advisory (PLN), LA
County EMS Agency
Provider Quality
Improvement (LACPQI),
and California Fire
Department Nurse
Educators (CaINep), and
other meetings as requested
or required
The Nurse Educator will
serve as a liaison with the
Los Angeles County EMS
Agency, local base hospitals
and/or fire departments.
The Nurse Educator will
ensure EMS compliance
with local and state EMS
regulations and protocols
and report deficiencies to
the Fire Chief or his/her
designee.
5.At committee meetings and
or as incidents arise
Resolution of concerns and dialogue
with department leadership about
complaints and concerns.
6.Ongoing Attend UCLA Nurse Educator
Service department meetings.
Attend Los Angeles County
Department of Health Services EMS
Agency Provider Quality
Improvement Meetings. Attend
train-the-trainer EMS Update
courses (annually).
Results compiled and presented to
Fire Chief.
The Nurse Educator will
assess the overall quality of
CE and OI Program
The Nurse Educmo
work directly with the
Department’s Infection
Control Officer in the
design and maintenance of a
department-wide infection
control and exposure
Anonymous survey
annually
As needed for incidents and
review of plan annually
Review program annually, support
DICO and make recommendations
to Department leadership.
ro g.ram .
9. The Nurse Educator shall
have experience and
competence rn rntervrew
techniques and may
participate on a Department
oral board for potential
paramedic candidates as
requested.
10. The Nurse Educator shall
have the experience and
flexibility to perform home
visits on special needs
As scheduled The Nurse Educator will participate
in oral boards and skill assessments
for potential paramedic candidates
as requested
As required The Nurse Educator will document
such visits and share it with
Department.
DocuSlgn Envelope ID: 86D4F7AB-A373-4644-B237-203CFIB99E34 patient in their own
environment
_ 21
No: 1662414096 Return Address
This Certificate is provided to:
Downey Fire Department12222 Paramount Blvd
Downey CA 90241
UCLA Health System757 Westwood Plaza
Los Angeles, CA 90095
UNIVERSITY OF CALIFORNIA
EVIDENCE OF SELF-INSURANCE
PROFESSIONAL LIABILITY & HOSPITAL LIABILITY
Type of Coverage Self Insured Limits
1. PROFESSIONAL MEDICAL AND HOSPITAL LIABILITY:2.500.000 Each Occurrence 2,500,000 Aggregate
II. SPECIAL TERMS & CONDITIONS:+8©©•••• 8 e •••••@ e
1 This certificate is not valid for use by individuals and is only intended to evidence the self insurance of The Regents of the University of California for institutional exposure as opposed to individual exposures.
IfI,n\\•
2 The self insurance evidenced herein follows the provisions of the Bylaws and Standing Orders of the Regents of the University of California and self insurance programs as administered by the University of California, Office of the President, Office of Risk Services, which do not permit any assumption of liability which does not result from and is not caused by the negligent acts or omissions of its officers, agents, or employees. Any indemnification or hold harmless clause with broader provisions than required under such Bylaws and Standing Orders shall invalidate this certificate,,/g/i• 8 •
3 This certificate is in effect until the expiration date indicated below or termination of applicable contract, affiliation agreement or termination of University employment, whichever comes first.
Should any of the above described program of self-insurance be materially modified or cancelled before the expiration date shown below, The Regents of the University of California will give 30 days written notice to the certificate holder.al pLa
Effective Date: 07/01/2024 Johanna Klohn
UCLA Health System
757 Westwood Plaza
Los Angeles CA 90095
Expiration Date: 07/01/2025 Approval Date: 6/15/2024
This Certificate is issued as a matter of information only and confers no rights upon the certificate holder, The Certificate does not amend, extend or alter the coverage described above. This certificate does not constitute a contract between the holder and the University of California
Form PL InstItutIonal 0914